WEBVTT - Week 21: Wait, How Exactly Am I Supposed To Push?

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<v Speaker 1>You're listening to Amma Mia podcast.

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<v Speaker 2>Mama Maya acknowledges the traditional owners of land and waters

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<v Speaker 2>that this podcast is recorded on.

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<v Speaker 3>I am pregnanty.

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<v Speaker 4>Welcome to Hello Bump.

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<v Speaker 2>We're making pregnancy less overwhelming and more manageable. I'm Grace Rubray,

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<v Speaker 2>pregnant for the first time, and I've just been fingered

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<v Speaker 2>by a pelvic four physio rise right.

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<v Speaker 3>Oh, so I'm Theannahman. I'm a mother of six and

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<v Speaker 3>an obsentrician train in training, so I do a lot

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<v Speaker 3>of that lane, but in a very positive way, hoping

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<v Speaker 3>to birth your babies.

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<v Speaker 2>Each episode will be holding your hand, and the hands, well,

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<v Speaker 2>your honest hands will make you somewhere else week by

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<v Speaker 2>week through this mysterious, perplexing and sometimes daunting miracle.

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<v Speaker 4>That is pregnancy.

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<v Speaker 1>Absolutely so welcome to week twenty one.

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<v Speaker 4>What size are we?

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<v Speaker 1>Rock melon?

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<v Speaker 4>Still abroad?

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<v Speaker 1>But that feels a small rock melon to me? It

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<v Speaker 1>actually seems a little big.

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<v Speaker 3>To be honest, knowing what I know about pregnancy, it

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<v Speaker 3>does seem a little on that a larger size, maybe

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<v Speaker 3>a small rabbit in terms of and I don't like.

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<v Speaker 4>That any better. Just think that's is that our first animal?

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<v Speaker 4>No our second animal.

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<v Speaker 1>Yeah, we had we had a kidy peek before.

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<v Speaker 2>What about like a bottle of serracha? Lengthwise, what is

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<v Speaker 2>a bottle of sacha? It's a type of spice that

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<v Speaker 2>we probably can't have if you've got heartburn, but it's

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<v Speaker 2>like a spicy source.

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<v Speaker 3>So we now mes a baby's size from its head

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<v Speaker 3>to its feet. Remember how we talked about for a

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<v Speaker 3>while they were measuring to its butt. Now it's a

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<v Speaker 3>full length. So we've jumped significantly to twenty six centimeters

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<v Speaker 3>three hundred and sixty grand. So yeah, we've got a

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<v Speaker 3>We've got almost the length of a ruler in there,

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<v Speaker 3>just curled up. It's all little legs are curled up,

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<v Speaker 3>and yeah, so it's it's flex it's next flexed, and

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<v Speaker 3>its head and its knees are all curled up in sides.

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<v Speaker 3>It doesn't feel like that, hence the size of a rabbit.

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<v Speaker 3>But if it went, if you were to get it

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<v Speaker 3>out and pull his little arm's eye this and stretch,

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<v Speaker 3>it'll stretch her out. She would be around the twenty

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<v Speaker 3>six centimeters long.

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<v Speaker 4>Do they ever want whilst in utero stretch.

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<v Speaker 3>There's no room to do so because the uterus isn't huge.

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<v Speaker 3>It grows with your baby, so it's not like you're

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<v Speaker 3>us is like your baby's tiny. It's got this massive

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<v Speaker 3>cavity to be in. Yeah, so it still it will

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<v Speaker 3>be stretching out and in and out.

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<v Speaker 2>Now, because I've seen those reels where someone goes, oh,

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<v Speaker 2>this is how long it is, and they put like

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<v Speaker 2>the average length of the baby, they put the tape

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<v Speaker 2>measure up to them.

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<v Speaker 4>I saw that today they and they just are like,

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<v Speaker 4>how yeah, they're curled the lovely and what are they growing?

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<v Speaker 1>Well, this week's about their bits and pieces.

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<v Speaker 3>So the little woman, if she's in you, which is

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<v Speaker 3>obviously in your case, has now got a fully formed uterress.

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<v Speaker 3>So we talked about how it's all started around five weeks.

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<v Speaker 3>It's a long long time ago that she was differentiated

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<v Speaker 3>into a boy or girl based on genetics, and you

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<v Speaker 3>know XX and x y and lots of different molecular

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<v Speaker 3>signals and pathways that change things. But if it's a

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<v Speaker 3>little girl, she's now got her useress. And if it's

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<v Speaker 3>a boy based on the Y chromosome, it still takes

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<v Speaker 3>a little longer for those testes to descend down outside.

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<v Speaker 3>That's actually untill about twenty six, twenty eight weeks, quite

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<v Speaker 3>a while before your baby's gonads are on the outside

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<v Speaker 3>of his body, but it's still all forming on that

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<v Speaker 3>inside obviously to allow him to produce in thirty five years.

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<v Speaker 4>What's happening to me and what's happening to me?

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<v Speaker 3>You might be experiencing heartburn and intergestion even more now,

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<v Speaker 3>so we've already discussed the myth around.

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<v Speaker 4>I have a gavaskin in my mouth. I can see that.

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<v Speaker 3>I was wondering for having chewing It was a gavascon. Wow,

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<v Speaker 3>it's sexy. What about the bloating and the appetite? Has

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<v Speaker 3>that changed for you as well? Because there's certainly, quite

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<v Speaker 3>commonly is changes in that space this week.

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<v Speaker 2>It's hard to know what's bloating and what's babing at

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<v Speaker 2>this point.

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<v Speaker 1>Yeah.

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<v Speaker 4>True, I definitely feel bigger.

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<v Speaker 1>Yeah.

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<v Speaker 4>Yeah.

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<v Speaker 3>The reflux tends a bit worseer now in the bloating

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<v Speaker 3>because there is more baby taking up that space too,

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<v Speaker 3>so you can imagine it's pushing all your other bits

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<v Speaker 3>and pieces aside.

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<v Speaker 4>And is gas burping as well.

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<v Speaker 3>Again, that's the Sophogel's finkter releasing and relaxing a little

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<v Speaker 3>bit because of the progesterone. And also if you think

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<v Speaker 3>about it, particularly when you're sitting down, when you stand up,

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<v Speaker 3>you might find it relieves a little bit.

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<v Speaker 1>But I don't know about you, but when.

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<v Speaker 3>The baby, that size of that uterress is now squashing

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<v Speaker 3>the stomach, so it's actually putting pressure and so you're

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<v Speaker 3>just getting that acid but it comes back up not

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<v Speaker 3>much shut normal? Is it normal?

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<v Speaker 1>My?

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<v Speaker 4>Is this normal? Is it's starting to think about delivery?

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<v Speaker 1>Okay?

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<v Speaker 3>Yeah?

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<v Speaker 2>Because I did go to a pelvic four physio for

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<v Speaker 2>the first time and when she you know, they have

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<v Speaker 2>their hands inside you, and she said, let's start teaching

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<v Speaker 2>you how to push, and with her hands inside me

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<v Speaker 2>to see how what I was able to measure wise

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<v Speaker 2>what I was, I guess open more and she said

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<v Speaker 2>push with what you think pushing would be and my

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<v Speaker 2>brain just went, I don't get it, and I just

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<v Speaker 2>didn't understand. And I always thought there would be this

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<v Speaker 2>instinctual thing. So maybe if that helps people, if it

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<v Speaker 2>feels overwhelming, it wasn't instinct No, it's.

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<v Speaker 3>More instinctual in the birth room now, and that is

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<v Speaker 3>also again not for everyone. So we definitely have women

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<v Speaker 3>where a body just takes over and she just her

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<v Speaker 3>body just pushes the baby out. So you know, you

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<v Speaker 3>hear people saying, your baby bree is breathed out, like

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<v Speaker 3>she just literally went into this amazing zone of you know, berthing,

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<v Speaker 3>and then the baby.

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<v Speaker 1>She just breathed and this baby just delivered.

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<v Speaker 3>It does happen, not commonly on your first grace, but

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<v Speaker 3>it does happen. And you know, people have babies in

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<v Speaker 3>car parks and at home because it was so unexpected

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<v Speaker 3>and quick.

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<v Speaker 1>So some people do.

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<v Speaker 3>But the vast majority of women that I've now been

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<v Speaker 3>privileged to watch, which is more than a thousand women

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<v Speaker 3>I've probably watched vaginally birth, take time to learn how

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<v Speaker 3>to push because for our whole lives we have been

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<v Speaker 3>told suck in, hold up, and don't let that go.

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<v Speaker 3>You know, keegels, kegels, kegels pull it. The language, by

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<v Speaker 3>the way, I think are in c central, including in pregnancy.

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<v Speaker 3>But it's having to let all of that go, like

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<v Speaker 3>you'll be pushing a watermelon out and you need to

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<v Speaker 3>be okay with opening your boughs because most people do

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<v Speaker 3>because that's the way the baby's coming out, not up

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<v Speaker 3>and in.

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<v Speaker 4>It's interesting that you say up and in.

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<v Speaker 2>That was the only way I was able to lock

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<v Speaker 2>into how to push out was to first go up

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<v Speaker 2>and in and then push out. Okay, that's interesting, yeah,

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<v Speaker 2>because I couldn't. I think I was also trying to

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<v Speaker 2>push with stomach muscles. Yep, yeah, fair, until it clocked

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<v Speaker 2>what we were doing. And then we've sort of went

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<v Speaker 2>in stages of how to engage the muscles. And then

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<v Speaker 2>she would show me on an ultrasound when I.

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<v Speaker 4>Was engaging the muscles.

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<v Speaker 2>Okay, to visually see it, and when is the right

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<v Speaker 2>time to start seeing a pelvic floor physio and is

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<v Speaker 2>it something that is recommended by obstetricians and midwives to

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<v Speaker 2>do well?

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<v Speaker 1>Look, it's certainly.

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<v Speaker 3>We have an amazing women's health physiotherapy team at our hospital.

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<v Speaker 3>I'm not sure that's the case everywhere, because one of

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<v Speaker 3>my older hospitals wasn't the case. So I'm a massive

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<v Speaker 3>believer in it. I had incontinence even as an athlete

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<v Speaker 3>before pregnancy, and certainly had it afterwards and very much

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<v Speaker 3>during pregnancy. So one of the reasons I went and

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<v Speaker 3>saw women's health visio before it was even advertisers the thing,

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<v Speaker 3>as you know, a thing to do, was because I

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<v Speaker 3>could not stand sneezing and pissing myself at work every time.

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<v Speaker 3>Found that really uncomfortable. So I went there to try

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<v Speaker 3>and work out why, and learn about your anatomy, learn

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<v Speaker 3>about your body, get comfortable with your own vagina because

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<v Speaker 3>later in pregnancy we'll start talking about things like paranoral

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<v Speaker 3>massage and stuff to try and help with paranoral trauma

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<v Speaker 3>and tearing during labor, which, by the way, ladies, sorry

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<v Speaker 3>because we're all going to close your legs right now,

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<v Speaker 3>is at common, okay, So, particularly in first pregnancy is

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<v Speaker 3>very few people get away with it intact parente, which

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<v Speaker 3>means no tearing or grazing. This is the time to

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<v Speaker 3>make a good relationship with your physiotherapist, because I also

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<v Speaker 3>believe no matter what birth you have, it's fantastic to

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<v Speaker 3>engage with the physio before and after pregnancy. They help

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<v Speaker 3>you retrain your pelvic floor, they help you retrain your

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<v Speaker 3>abdominal muscles, because let's be honest, they're going to separate significantly.

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<v Speaker 3>You know, we get a lot of people with diast

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<v Speaker 3>disrectors afterwards, which is a big gap in the upper

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<v Speaker 3>start to switch depends on your pregnancy, It depends on

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<v Speaker 3>your pre existing BMI. It depends how many babies are inside.

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<v Speaker 3>For me, my first pregnance around the twenty eight week mark,

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<v Speaker 3>so around where you are now. I noticed in the

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<v Speaker 3>night work up and it went away and I looked

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<v Speaker 3>very much more pregnant the next day. So but you know,

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<v Speaker 3>I was Onlympic athlete and did a lot of dominant work,

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<v Speaker 3>so I think I was probably holding it back and

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<v Speaker 3>that was so tight and strong, which I think is

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<v Speaker 3>another thing we should probably bring up, and the your

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<v Speaker 3>physio can guide you on this more than probably an

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<v Speaker 3>obstetric can. Is that for some women you need to

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<v Speaker 3>back off your pelvic floor work. So I was someone

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<v Speaker 3>who had a really tight pelvic floor from significant amounts

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<v Speaker 3>of exercise, and that's not ideal for labor.

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<v Speaker 1>Everything you need.

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<v Speaker 3>You needed to be strong to support the pregnancy, but

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<v Speaker 3>then you need to be able to turn it off

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<v Speaker 3>and allow your body to open for birth.

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<v Speaker 4>That's fascinating.

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<v Speaker 3>So now I'd say twenty weeks is around the time

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<v Speaker 3>twenty one twenty two weeks where you should be looking

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<v Speaker 3>at women's health visios and you know, narrowing down one

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<v Speaker 3>or two that you'd like to see and because it

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<v Speaker 3>can also even support you with back pain. And they're

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<v Speaker 3>not just vagina physios, you know, they do lots of

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<v Speaker 3>other therapy as well. Can help you with your incontinence,

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<v Speaker 3>can help you with prolapse concerns, talk about birth, can

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<v Speaker 3>help you guide you on pushing. I'm not sure I've

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<v Speaker 3>heard of a physio doing the birth pushing at twenty

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<v Speaker 3>one twenty two weeks, but maybe that's something she's really

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<v Speaker 3>passionate about. It's certainly a conversation you need to be

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<v Speaker 3>happy and as you're getting closer to sort of thirty

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<v Speaker 3>five and thirty.

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<v Speaker 2>Six weeks, yeah, just because of the I don't know

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<v Speaker 2>if this is going to be my talk, kid, but

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<v Speaker 2>as it was so nice to figure out what the

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<v Speaker 2>muscles are.

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<v Speaker 4>Yeah, okay, even though it was very daunting.

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<v Speaker 3>Well, I'm sure you're not alone, so hopefully it'll inspire

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<v Speaker 3>someone else to get out and make a phone call.

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<v Speaker 4>And book you.

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<v Speaker 2>Apart from this, what are some other things we can

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<v Speaker 2>start to think about this week?

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<v Speaker 3>Well, I think it really is starting to consider birth.

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<v Speaker 3>Like you know, I'm really hoping with every bone in

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<v Speaker 3>my body that it's not for at least another fifteen weeks.

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<v Speaker 3>But yeah, starting to approach that space where you know

0:09:22.149 --> 0:09:24.509
<v Speaker 3>things do change and happen. So I think it's really

0:09:24.549 --> 0:09:27.909
<v Speaker 3>important to start one a little book where your monitor

0:09:27.949 --> 0:09:30.989
<v Speaker 3>babies movements. So now is the time to really think,

0:09:31.029 --> 0:09:33.229
<v Speaker 3>oh yes, I'm feeling it, Oh yes, I'm feeling it regularly.

0:09:33.229 --> 0:09:34.669
<v Speaker 3>So that we're going to start harping on about that

0:09:34.709 --> 0:09:37.749
<v Speaker 3>pretty often in the next couple of episodes, because movement

0:09:37.789 --> 0:09:40.709
<v Speaker 3>start become very important, but also just planning things that

0:09:40.709 --> 0:09:47.869
<v Speaker 3>you're going to require and need over the next few months.

0:09:50.589 --> 0:09:53.109
<v Speaker 2>My talk kit this week is the pelvic floor exercises,

0:09:53.109 --> 0:09:56.469
<v Speaker 2>but one that really surprised me was about opening your

0:09:56.549 --> 0:10:01.189
<v Speaker 2>hip muscles and doing Child's posts, because one of the

0:10:01.229 --> 0:10:03.949
<v Speaker 2>things that they do is they sort of massage around

0:10:03.989 --> 0:10:07.189
<v Speaker 2>to see how tight you are in your hips from

0:10:07.229 --> 0:10:11.309
<v Speaker 2>the inside. And it's the strangest sense, but I was

0:10:11.389 --> 0:10:14.269
<v Speaker 2>quite tight in my hips, which you just have to

0:10:14.269 --> 0:10:17.749
<v Speaker 2>start learning how to lose them and let go. And

0:10:17.789 --> 0:10:19.789
<v Speaker 2>that the physiotomy that it's common for a lot of

0:10:19.789 --> 0:10:22.749
<v Speaker 2>women that we never fully relax.

0:10:22.909 --> 0:10:23.909
<v Speaker 4>You could always be.

0:10:23.829 --> 0:10:25.949
<v Speaker 2>Ten percent tensed, and if you're one of those people

0:10:25.949 --> 0:10:28.509
<v Speaker 2>that's ten percent tens you've got to learn how to

0:10:28.589 --> 0:10:29.069
<v Speaker 2>let that go.

0:10:29.389 --> 0:10:30.909
<v Speaker 3>Absolutely and I think we need to highlight that at

0:10:30.949 --> 0:10:32.709
<v Speaker 3>this point it's worse for people with chronic pelvic pain

0:10:32.749 --> 0:10:34.389
<v Speaker 3>and end to eat triosis and stuff like that. So

0:10:34.429 --> 0:10:37.789
<v Speaker 3>if you have a pre existing pelvic floor condition, it's

0:10:37.909 --> 0:10:40.349
<v Speaker 3>central to start looking at this early. The flip side

0:10:40.349 --> 0:10:41.589
<v Speaker 3>of that, not everyone's going to be able to ford

0:10:41.589 --> 0:10:45.029
<v Speaker 3>together to a physio, that's true, so they are sometimes pricey, deservedly.

0:10:45.069 --> 0:10:47.229
<v Speaker 3>So yeah, and so there are really good website like

0:10:47.309 --> 0:10:50.989
<v Speaker 3>Medibank actually has a page propurely on kegal exercises, So

0:10:50.989 --> 0:10:53.029
<v Speaker 3>if you want to start looking at what those muscles

0:10:53.029 --> 0:10:55.509
<v Speaker 3>are and training it, they just basically run you through

0:10:55.509 --> 0:10:57.629
<v Speaker 3>what to do, which is, you know, like holding your

0:10:57.629 --> 0:10:59.709
<v Speaker 3>wig and holding in that symptom for three to five

0:10:59.749 --> 0:11:01.429
<v Speaker 3>seconds and then letting go, and sort of training on

0:11:01.469 --> 0:11:03.629
<v Speaker 3>how often and frequently you know you should be doing.

0:11:03.509 --> 0:11:03.909
<v Speaker 4>Things like that.

0:11:03.909 --> 0:11:05.509
<v Speaker 3>So there are good resources out there if you can't

0:11:05.509 --> 0:11:06.509
<v Speaker 3>afford to guns Efidio.

0:11:09.709 --> 0:11:11.909
<v Speaker 2>Hope you enjoyed this episode of Hello Bump. We have

0:11:12.269 --> 0:11:14.949
<v Speaker 2>so many episodes of this series filled with tips and

0:11:15.029 --> 0:11:18.349
<v Speaker 2>stories from women and experts who've been through it all before.

0:11:18.789 --> 0:11:20.629
<v Speaker 3>You can go back and listen to everything else Hello

0:11:20.669 --> 0:11:22.349
<v Speaker 3>Bump related in this podcast.

0:11:21.949 --> 0:11:24.109
<v Speaker 2>Feed, and while you're there, we'd love if you could

0:11:24.109 --> 0:11:25.869
<v Speaker 2>give us a five star rating and maybe leave us

0:11:25.909 --> 0:11:28.349
<v Speaker 2>a review, or even share this episode with a friend.

0:11:28.749 --> 0:11:31.909
<v Speaker 3>This episode was produced by Courtney Ammenhauser with audio production

0:11:31.989 --> 0:11:32.669
<v Speaker 3>by Tom Lyon.

0:11:32.749 --> 0:11:34.549
<v Speaker 1>We'll catch you next time. Bye.

0:11:34.829 --> 0:11:37.149
<v Speaker 4>This episode of Hello Bump was made in partnership with

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<v Speaker 4>Huggies